Provider Demographics
NPI:1770744815
Name:DVORKIN, ZACHARY BRYAN (DC)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:BRYAN
Last Name:DVORKIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 NE 207TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1336
Mailing Address - Country:US
Mailing Address - Phone:305-951-7810
Mailing Address - Fax:
Practice Address - Street 1:17230 W DIXIE HWY
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4816
Practice Address - Country:US
Practice Address - Phone:305-948-9777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9607111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor